HomeMy WebLinkAboutUntitled ..,e-',.., Development Services Department .
240 West Huntington Drive,Post Office Box 60021 PERMIT NO.
Arcadia, CA 91066-6021 BOO-052-283
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: Tenant Improve w/energ;
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
12/10/2015 CM 8:20 4/4/2016 Issued
ADDRESS NO. Dir.Prefix -Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: HNRY
Los Angeles, CA 90025- EMAIL ADDRESS:
Plan Chk#: 15-750
APPLICANT MAILING ADDRESS Plan#: _ 31888
Canyon Contracting Corp. PHONE NO.
EMAIL ADDRESS:
3
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Canyon Contracting Corp. 2821 Skye Rd PHONE NO. (360)837-2204 FAX NO.
Washougal, WA 98671 EMAIL ADDRESS: canyoncontracting@msn.com
License No. 906915 Type: B Expires: 11/30/2017 12:0(
TENANT MAILING ADDRESS .
Lenscrafters c co-R- � r D PHONE NO. FAX NO.
�L
7
DESCRIPTION
T.I.FOR LENSCRAFTERS
Construction Type UOM N of Units Value Construction Type UOM #of Units Value
Value Value 100,000.00 $100,000.00
OCCUPANCY: Tenant Improve TOTAL VALUATION: $100,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 795.60 795.60 01-3103 _
each Energy p/c fee 269.28 269.28 01-3103 C —G- 6 F411 71 4 /IC7/.
PC ADA 119.34 119.34 01-3103 I
PC Cal Green 79.56 79.56 01-3103 'cr-- CCP / <64gi'<<,Ea- A-I 6EGC-1,-,6 etl
e4V .
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 -5.4(5 ---/C DRyt.t.r (.C.-
each Bldg permit 1,224.00 1,224.00 01-3104
Bldg Issue ADA 122.40 122.40 01-3104 6-2:-`6 ..scr4 L. ix,16--- - .
SMIP Corn 28.00 28.00 14-2207
1.00 Env PC#2 1.00 1.00 521-3115
gm bldg std 4.00 4.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $2,693.78 Balance Due: $0.00 Paid Today: $1,429.00
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112406
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 1,390.75
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 28.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 4.00
Arcadia building inspector for a period of 180 consecutive days. 88-3027 6.25
•
CALLS FOR INSPECTION • INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
of ARC
4.-NtoO(�. 9
°� ■ i.7
PERMIT/PLAN REVIEW APPLICATION
°E.i7/' Development Services Department,240 West Huntington Drive,Post Office Box 60021
°m�.a��°°{K°`°° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code and my license is in full for.- .nd-.•ect. .,1 III have and will maintain a certificate of consent to self-insure for workers'
License Class a Lice e, ..f i , `xp. tad/#�° i 6 compensation, as provided for by Section 3700 of the Labor Code, for the
l� I , I R► 1 performance of the work for which this permit is issued.
Signature of Contractor 4 - ., .. A
NER-BUILDER DECLA' 'TION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code) or that he or she is I
exempt there from and the basis for the alleged exemption. Any violation of ►i certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
we kers'compensation provisions of Sec'on 3710 of the Labor Core,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for 4 ` \
sale(Section 7044,Business and Professions Code:The Contractors License Date �-G! Signature VA �I �
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for
further information. 1
11 _ nn�
111 Name�� . 1 , ( (7� Title.S IVC 1 ell Kul'
PRP NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to co 1 ly with all City ordinances and St ste .ws relating to building construction. I hereby authorize representatives of the City of
Arcadia to ent• pon the a T e-mention s ropert(for pection purposes.
Signature ,JLI` ,,►'1;�
J Date - 1
:,tea Development Services Department
;1 240 West Huntington Drive,Post Office Box 60021 PERMIT NO.
Arcadia, CA 91066-6021 BOO-053-816
City of (626)574-5416,Fax(626)447-9173 Permit Type:ype: Electrical
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
5/26/2016 CM 14:46 5/26/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. • 11601 Wilshire Blvd. 12th Floor PHONE NO.
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Calima Electric PHONE NO.
EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Calima Electric 137 N Larchmont #567 PHONE NO. FAX NO.
Los Angeles,CA 90004 EMAIL ADDRESS:
License No. 357034 Type: CI Expires: 4/30/2018 12:00:
TENANT MAILING ADDRESS (.- 11 njJ
� {[ ?1Lenscrafters lllvru, IIIJII` ONE NO. FAX NO.
DESCRIPTION
ELECTRICAL FOR TI
Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value
r.caI— --2-G‘ ic'��
_��
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 Flat Elec Issue Auto 44.35 44.35 01-3105
2.00 each Outlets 3.08 3.08 01-3105
29.00 each Ltg fixtures 37.00 37.00 01-3105 .
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
I
Total Fees: $85.43 Balance Due: $0.00 Paid Today: $85.43
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113110
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105 84.43
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
6..........,/
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
V�q oFR
rc9�r .
;. I PERMIT/PLAN REVIEW APPLICATION
0.
o j. Development Services Department,240 West Huntington Drive,Post Office Box 60021
%.4it,°cN° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and.effect. -- ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class 7G'Ia men;No.3-S1.0 }. Exp. Date '201: compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Sib ature of Contractor
OWNER-BUILDER D CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, -- -Carrier MG4240,4
demolish,or repair any structure,prior to its issuance,also required the applicant ——-
�jaQ,/O!
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number � �� /���
provisions of the Contractors License Law(Chapter 9(commencing with Section (This tion need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code) or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers' Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information.
1 tC"QUO �-f.bt.N. leg ->�—
Name-- Title
PRINT NAME - - _
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter-upon the above-mentioned property for inspection purposes.
-- 5.2.(o' tots,.
Signature
Development Services Department
04 , , 240 West Huntington Drive,Post Office Box 60021 PERMIT NO.
`•• - Arcadia, CA 91066-6021 BOO-053-558
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: Fire
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
5/5/2016 CM 10:44 5/11/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 16-209
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Bec 2046 Lindsay Way PHONE NO. (909)305-1600
Glendora,CA 91740 EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Building Electronic Controls Inc. 2246 Lindsay Way PHONE NO. FAX NO.
Glendora, CA 91740 EMAIL ADDRESS:
License No. 729905 Type: C Expires: 11/30/2016 12:0(
TENANT MAILING ADDRESS
Lenscrafters PHONE NO. FAX NO.
0 CBKY EYED
5
DESCRIPTION
FIRE ALARM-18 DEVICES
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 9,520.00 $9,520.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $9,520.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
18.00 each fire alarm pc 2 637.50 637.50 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 237.25 237.25 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
•
Total Fees: $920.10 Balance Due: $0.00 Paid Today: $282.60
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112919
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 281.60
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
AFAR
v/4rtiiroI v,1.
:11 .7 PERMIT/PLAN REVIEW APPLICATION
s, Development Services Department,240 West Huntington Drive,Post Office Box 60021
a.a,,,.aw' Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0.1I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and eff�ec. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class CV)�� License No.72 GO Exp. Date(If t0/1 ' compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor Q., ,t A.,,•Qf\
OWNER-BUILDER DE LARATION ja I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions
is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 21V"(\C,Qn -e\--'Y1QA-•Q-ck,(f --
demolish,or repair any structure,prior to its issuance,also required the applicant Iv �1r l G r „ 11 �
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number `� 1 lc
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
ElI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed - _
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information. ^
Name J \\ 7 NTN \�'l Title Q"c l lei` ���i�53tQ 1( - C ili?/
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the a!; e-mentioned property for inspection purposes. /1 l JI
Signature � a�� � Date 6/ l ` L1
- k Development Services Department
.1 ,, 240 West Huntington Drive,Post Office Box 60021 PERMIT NO.
Arcadia,CA 91066-6021 BOO-053-377
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: Fire
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
4/21/2016 CM 8:56 4/28/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 16-176
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Allready Fire Sprinklers PHONE NO.
EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Allready Fire Sprinkler Co 818 N Grand Ave PHONE NO. (626)913-6720 FAX NO.
Covina, CA 91723 EMAIL ADDRESS:
License No. 358795 Type: C16 B Expires: 7/31/2017 12:00:
TENANT MAILING ADDRESS
Lenscrafters PHONE NO. FAX NO.
DESCRIPTION
FIRE SPRINKLERS-ADJUST 3- I ADD
Construction Type UOM S of Units Value Construction Type UOM l9 of Units Value
Value Value 750.00 $750.00
0 Clim-p— F7-1
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $750.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
4.00 each sprinklerpck 255.00 255.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 53.25 53.25 01-3112
1.00 each SWIv1F 2 Auto 1.00 1.00 88-3027
Total Fees: $353.60 Balance Due: $0.00 Paid Today: $98.60
•
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112748
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 97.60
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday (y---
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. - 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
U~4 oFF R,-,,,
7 PERMIT/PLAN REVIEW APPLICATION
o� Development Services Department, 240 West Huntington Drive,Post Office Box 60021
°Nnity of t" Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Co ,and my license is in full force and effect. ._ I 0 I have and will maintain a certificate of consent to self-insure for workers'
icense Class s' Co` r icense o—-- s q5 t Exp-Datee�3i I compensation, as provided for by Section 3700 of the Labor Code, for the- r performance of the work for which this permit is issued.
Signature Contractor -
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued..My workers compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Came
r- U Pr`J lVot:�N
demolish,or repair any structure,prior to its issuance,also required the applicant / Lt i
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number �3000�2c3G ' 1
provisions of the Contractors License Law(Chapter 9(commencing with Section ( tns section_n`eed not be completed if the permit is for one hundred dollars or less)
7000) of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information. I,,
cName=2-! D c rol 0-C_ Tile-y- Ir 10 \e (p
`I PRINT NAME _1
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature / _ Date VV/G9
ti4NFI 4
tot Ineorpontsd
Auryrt s, 903
*
"aity°f ' MEMORANDUM
Fire Department
DATE: June 1, 2016
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue, A03 (Lenscrafters)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 5-23-2016 Jill Perumean
FIRE ALARMS 5-26-2016 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 5-31-2016 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 6-1-2016 Rita